Kuakini Geriatric Care, Inc
KUAKINI GERIATRIC CARE, INC in HONOLULU, HI — inspection on January 8, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During the interview surveyor and R89 did not observe any sticker with the date the O2 tubing was implemented.
Review of R89's Electronic Health Record (EHR) found she was admitted to the facility on [DATE] and her diagnoses include, but are not limited to, chronic obstructive pulmonary disease with (acute) exacerbation (persistent respiratory disease with respiratory symptoms significantly worsening); acute respiratory failure with hypoxia (not enough oxygen in the blood); acute respiratory failure with hypercapnia (too much carbon dioxide in the blood); emphysema (air sacs of the lungs are damaged), unspecified; and pulmonary fibrosis (scarring and thickening of the tissue around and between the air sacs in the lungs), unspecified.
Review of R89's Admission Minimum Data Set (MDS) with an assessment reference date of 11/05/24 found she had a Brief Interview for Mental Status (BIMS) with a score of 15 out of 15 identifying her as cognitively intact.
Review of R89's physician orders found an order for Supplemental O2 (oxygen) 2-4L/min by nasal cannula with humidifier continuous to keep sats > (greater than) 90% every shift for COPD.
On 01/06/25 requested and received oxygen use policy from facility Administrator.
On 01/08/25 reviewed facility policy Respiratory Delivery Devices dated 01/24, Purpose: To set guidelines for the use of respiratory delivery devices in the facility which include nasal cannula, non-breather [sic.] mask, oxymizer pendant and bland aerosol administration.
Scope: All qualified and trained Personal staff.
Policy: Qualified and trained personal will utilize, treat, and monitor use of these respiratory delivery devices.
Procedure: A.
Nasal Cannula (1/4 - 6 LPM) . 3.
Change nasal cannula weekly and PRN soiled.
125026
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 125026 B.
Wing 01/08/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kuakini Geriatric Care, Inc 347 North Kuakini Street Honolulu, HI 96817
During initial tour of the kitchen found the kitchen uses a dishwasher with high temperatures to sanitize their dishware and silverware.
Review of facility log for the dishwasher stated Standards: Wash - 140-160 degrees F and Final Rinse - 180-190 degrees F. If temperature is above or below range, please inform the supervisor.
Logs of temperatures written in for 01/01/25 - 01/04/25 were all within the standard temperatures.
Observed dishwasher at 08:44 AM with dishes loaded on the conveyor belt moving through the dishwasher and kitchen staff unloading the dishes onto a rack.
During this time, the dishwasher temperature was checked by surveyor and the final rinse was at 172 degrees F.
Inquired of the FSS1 what the final rinse temperature was at, and she stated 172.
Inquired with the Food Service Worker 1 who also confirmed the temperature was at 172 degrees F.
Inquired with Food Service Worker (FSW) 2 what the final rinse has to be at for the dishes to be sanitized and she did not respond, FSW2 continued to unload the dishes that had gone through the dishwasher.
Inquired with FSS1 what the final rinse has to be at, and she told staff to stop what they were doing.
She stated the final rinse has to be 180 degrees or more.
Inquired with FSS1 if the dishwasher uses a chemical sanitizer to clean the dishes and she said it is done by heat. FSS1 showed surveyor where the dishwasher detergent was dispensed from that leads to the dishwasher and also showed the Temp Rinse All Temperature Drying Agent.
On 01/05/24 at 10:00 AM returned to the kitchen to meet with the Administrator to discuss findings about the dishwasher use.
Reviewed dishwasher detergent with Administrator who confirmed the Micro-Pak detergent by microTECH concentrates is not a sanitizer and he also confirmed the Temp Rinse All Temperature Drying Agent is not a sanitizer.
125026
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 125026 B.
Wing 01/08/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kuakini Geriatric Care, Inc 347 North Kuakini Street Honolulu, HI 96817